Skip to main content Accessibility help

We use cookies to distinguish you from other users and to provide you with a better experience on our websites. Close this message to accept cookies or find out how to manage your cookie settings.

Close cookie message
×
Hostname: page-component-6bf8c574d5-xtvcr Total loading time: 0 Render date: 2025-02-24T02:01:44.689Z Has data issue: false hasContentIssue false

Chapter 5 - Principles of Cardiopulmonary Bypass

from Section 1 - Routine Cardiac Surgery

Published online by Cambridge University Press:  12 May 2020

By
Timothy Coulson  and
Florian Falter
Edited by
Joseph Arrowsmith ,
Andrew Roscoe  and
Jonathan Mackay
Joseph Arrowsmith
Affiliation:
Royal Papworth Hospital, Cambridge
Andrew Roscoe
Affiliation:
Singapore General Hospital
Jonathan Mackay
Affiliation:
Royal Papworth Hospital, Cambridge
Get access

Summary

The ideal operating conditions to enable cardiac surgery are a bloodless and motionless field. This requires both cardiac arrest and the drainage of blood from the heart. In order to provide these conditions a separate means of maintaining nutrient supply to the rest of the body is needed. In addition, the heart must be prevented from becoming sufficiently ischaemic as to infarct previously viable muscle.

Type
Chapter
Information
Core Topics in Cardiac Anaesthesia , pp. 30 - 44
Publisher: Cambridge University Press
Print publication year: 2020

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Further Reading

Anastasiadis, K, Murkin, J, Antonitsis, P, et al. Use of minimal invasive extracorporeal circulation in cardiac surgery: principles, definitions and potential benefits. A position paper from the Minimal invasive Extra-Corporeal Technologies international Society (MiECTiS). Interact Cardiovasc Thorac Surg 2016; 22: 647–62.Google Scholar
Edelman, JJB, Seco, M, Dunne, B, et al. Custodiol for myocardial protection and preservation: a systematic review. Ann Cardiothorac Surg 2013; 2: 717–28.Google Scholar
Engelman, R, Baker, RA, Likosky, DS, et al. The Society of Thoracic Surgeons, The Society of Cardiovascular Anesthesiologists, and The American Society of ExtraCorporeal Technology: clinical practice guidelines for cardiopulmonary bypass – temperature management during cardiopulmonary bypass. J Cardiothorac Vasc Anesth 2015; 29: 1104–13.CrossRefGoogle Scholar
Ghosh, S, Falter, F, Perrino, AC Jr (eds.). Cardiopulmonary Bypass, 2nd edn. Cambridge: Cambridge University Press; 2015.CrossRefGoogle Scholar
Habertheuer, A, Kocher, A, Laufer, G, et al. Cardioprotection: a review of current practice in global ischemia and future translational perspective. BioMed Res Int 2014; 2014: 1–11.CrossRefGoogle ScholarPubMed
Hausenloy, DJ, Yellon, DM. Ischaemic conditioning and reperfusion injury. Nature 2016; 13: 193–209.Google Scholar
Kunst, G, Klein, AA. Peri-operative anaesthetic myocardial preconditioning and protection: cellular mechanisms and clinical relevance in cardiac anaesthesia. Anaesthesia 2015; 70: 467–82.CrossRefGoogle ScholarPubMed
Recommendations for Standards of Monitoring and Safety during Cardiopulmonary Bypass Society of Clinical Perfusion Scientists of Great Britain & Ireland Association for Cardiothoracic Anaesthesia and Critical Care Society for Cardiothoracic Surgery in Great Britain & Ireland; 2016. www.scps.org.uk/pdfs/RSM%20and%20Safety%20during%20CPB%20Aug%202016%20booklet.pdf (accessed June 2019).Google Scholar

Save book to Kindle

To save this book to your Kindle, first ensure [email protected] is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about saving to your Kindle.

Note you can select to save to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

Find out more about the Kindle Personal Document Service.

Available formats
×

Save book to Dropbox

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Dropbox.

Available formats
×

Save book to Google Drive

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.

Available formats
×